Clinic for Hematology, Clinical Centre Serbia, Belgrade, Serbia; Medical Faculty, University of Belgrade, Belgrade, Serbia.
Clinic for Hematology, Clinical Centre Serbia, Belgrade, Serbia.
Blood Rev. 2018 Mar;32(2):144-158. doi: 10.1016/j.blre.2017.10.002. Epub 2017 Oct 31.
Venous thromboembolic events (VTE) are an underestimated health problem in patients with lymphoma. Many factors contribute to the pathogenesis of thromboembolism and the interplay between various mechanisms that provoke VTE is still poorly understood. The identification of parameters that are associated with an increased risk of VTE in lymphoma patients led to the creation of several risk-assessment models. The models that evaluate potential VTE risk in lymphoma patients in particular are quite limited, and have to be validated in larger study populations. Furthermore, the VTE prophylaxis in lymphoma patients is largely underused, despite the incidence of VTE. The lack of adequate guidelines for the prophylaxis and treatment of VTE in lymphoma patients, together with a cautious approach due to an increased risk of bleeding, demands great efforts to ensure the implementation of current knowledge in order to reduce the incidence and complications of VTE in lymphoma patients.
静脉血栓栓塞事件(VTE)是淋巴瘤患者被低估的健康问题。许多因素导致血栓形成,血栓形成的各种机制之间的相互作用仍知之甚少。确定与淋巴瘤患者 VTE 风险增加相关的参数导致了几种风险评估模型的创建。特别是评估淋巴瘤患者潜在 VTE 风险的模型相当有限,并且需要在更大的研究人群中进行验证。此外,尽管 VTE 的发病率很高,但淋巴瘤患者的 VTE 预防措施仍未得到充分利用。缺乏针对淋巴瘤患者 VTE 预防和治疗的充分指南,以及由于出血风险增加而采取的谨慎方法,需要付出巨大努力来确保实施现有知识,以降低淋巴瘤患者 VTE 的发生率和并发症。